Gingivitis and Periodontal Disease

Gingivitis is a mild form of periodontal disease. Its presence is indicated by a redness and/or swelling of the gum area. Those who have gingivitis usually have gums that bleed easily, too. Gums generally bleed when slight pressure is applied such as after brushing or flossing. A change in the color of the gums is another indication that gingivitis may be present. What makes gingivitis tricky to self-diagnose is that typically not much pain accompanies these symptoms. What also makes the problem go unnoticed by many is the fact that millions of Americans have some degree of gingivitis, especially those who are over age 35. Most don't realize it isn't 'normal' for their gums to bleed. The most common cause of gingivitis is poor dental hygiene. When plaque is not completely removed from the teeth, it will begin to release toxins. These toxins irritate the gums. In just a few days, plaque that is not removed from the teeth will turn into calculus, more commonly referred to as tartar. These hardened deposits of plaque cannot be removed at home. A dentist must use a special tool to scrape away the tartar build-up. Because tartar cannot be easily removed, its presence will also irritate the gums. Tartar compounds the problem by giving bacteria one more location where it can grow. Gingivitis is caused by other factors including genetics, certain medications, fluctuating hormones and certain diseases such as leukemia and diabetes. Fungal and viral infections such as oral thrush and herpes also negatively impact the gums. A weakened immune system can also trigger gingivitis because the body has a more difficult time fighting off the bacteria that develop along with plaque. A diet lacking in Vitamins B and C and calcium contributes to the onset of periodontal disease, too. Therefore poor nutrition is also a cause. Effective treatment of gingivitis takes effort on behalf of the dentist and the patient. If you think you have gingivitis, it's important to make an appointment with your dentist as soon as possible. The dentist will give your teeth a thorough cleaning that will include scraping the tartar off your teeth. The dentist uses a special scraping tool and the procedure might cause discomfort, but it's absolutely necessary. After completing the dental visit, the second step in treating and preventing future incidences of gingivitis is the development of a better at-home routine for tooth brushing and flossing. Brush at least twice daily, in the morning and in the evening, using a new toothbrush after every 3 months. If possible, brush once more after lunch. Daily flossing is important, too. And be sure to floss all teeth, not just the ones in front. Both of these steps are equally important because when gingivitis isn't treated by the dentist and properly addressed by the individual, the condition can become much worse. It can turn into periodontis, a more serious form of periodontal disease. At that stage, there is a real possibility that the tooth or teeth in the affected area might fall out – permanently.

Periodontal Disease

Periodontal disease can develop around any tooth. When plaque starts growing along the gum line, over time it can spread below the gums. As the bacteria that are part of plaque begin releasing toxins, the gums become irritated. In response to the irritation, the body initiates an immune response and attacks itself. Specifically, the body begins destroying the tissues and bones that provide the underlying support for the teeth. With the support structure compromised, gums and teeth can separate, creating pockets which then start getting infected. Those pockets will keep growing deeper as long as the condition isn't treated. Once teeth start loosening, there's nothing else that can be done except to extract the affected teeth. As mentioned above, periodontal disease is most often caused by poor dental hygiene. However, there is another bad habit that can lead to gum disease – cigarette smoking. The relationship between cigarette smoking and periodontal disease has been studied extensively and the relationship is real: those who smoke greatly increase their risks of developing periodontal disease. Genetics has been shown to play a role in its development, too. If periodontal disease is known to run in the family, early intervention can mean the difference between keeping teeth intact and losing teeth. Wildly fluctuating hormones during puberty and pregnancy have been shown to increase the risks of developing periodontal disease, and so has stress. When you're stressed, your body has a more difficult time fighting infection, including that which forms in the gums. Certain medications might negatively impact your oral health which is why it's important that your dentist know all that you are taking, along with the dosage. Tooth clenching or grinding can accelerate the rate that the tissues that support your teeth weaken, which can lead to periodontal disease. Diabetes and certain disorders of the immune system can contribute to problems with the gums as can poor nutrition. Periodontal disease treatment begins with an effort to scrape away the plaque and tartar that have built up in the root surfaces. This process helps remove the irritating toxins, too. Once the deep pockets have been thoroughly cleaned, surgery usually can be avoided if ongoing, regular maintenance is performed. When surgery is necessary, the type will depend on the severity of the periodontal disease. Pocket depth reduction reduces the size of the pockets that have developed, making it easer to keep plaque out. The pockets are cleaned and then surgically tightened around the tooth. Regenerative procedures attempt to regenerate the tissues and bone that have been lost. Crown lengthening involves surgically removing and reshaping gums so that more of the tooth is visible. Soft tissue grafts can cover up exposed tooth roots, reducing sensitivity. This procedure can also build up gum tissues that have been lost.